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CARILION SERVICES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202432289349304278
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-15T22:45:19+00:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN541190879EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carilion Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARIBusinessNameControlTxt
Phone5402245102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityRoanokeCityNm
State AbbreviationVAStateAbbreviationCd
ZIP240252385ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonG ROBERT VAUGHAN JRPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5402245102PhoneNum
Signature2024-08-16SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1NANCY HOWELL AGEEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityRoanokeCityNm
State AbbreviationVAStateAbbreviationCd
ZIP240252385ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$491,619,719GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARILIONCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionOur mission is to improve the health of the communities we serve through our commitment to a common purpose of better patient care, better community health, and lower cost.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2465TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$10,932TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$439,878PYContributionsGrantsAmt
CY Contributions Grants$134,616CYContributionsGrantsAmt
PY Program Service Revenue$372,552,991PYProgramServiceRevenueAmt
CY Program Service Revenue$377,336,282CYProgramServiceRevenueAmt
PY Investment Income$5,176,597PYInvestmentIncomeAmt
CY Investment Income$3,496,656CYInvestmentIncomeAmt
PY Other Revenue$1,578,055PYOtherRevenueAmt
CY Other Revenue$1,634,999CYOtherRevenueAmt
PY Total Revenue$379,747,521PYTotalRevenueAmt
CY Total Revenue$382,602,553CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$222,978,336PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$217,718,774CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$154,116,907PYOtherExpensesAmt
CY Other Expenses$158,306,245CYOtherExpensesAmt
PY Total Expenses$377,095,243PYTotalExpensesAmt
CY Total Expenses$376,025,019CYTotalExpensesAmt
PY Revenues Less Expenses$2,652,278PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,577,534CYRevenuesLessExpensesAmt
Total Assets BOY$995,517,464TotalAssetsBOYAmt
Total Assets EOY$1,131,010,157TotalAssetsEOYAmt
Total Liabilities BOY$170,721,258TotalLiabilitiesBOYAmt
Total Liabilities EOY$156,899,481TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$824,796,206NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$974,110,676NetAssetsOrFundBalancesEOYAmt
MissionOur mission is to improve the health of the communities we serve through our commitment to a common purpose of better patient care, better community health, and lower cost.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$351,657,862ExpenseAmt
Grant$0GrantAmt
Revenue$378,971,281RevenueAmt
DescSee Schedule O.Desc
Total Program Service Expenses$351,657,862TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document612IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2465EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MATTHEW BARRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5402245021PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1213 S JEFFERSON STAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24011ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Donald Halliwill
Director/Asst. Treasurer42.57.5Yes (X)Yes (X)$988,973$0-$138,321
G Robert Vaughan Jr
Director/Treasurer/SVP44.55.5Yes (X)Yes (X)$409,821$0-$254,014
Nancy Howell Agee
Director/President/CEO, Carilion Clinic29.021.0Yes (X)Yes (X)$2,186,283$0$1,001,688
Jeanne Armentrout
Director46.04.0Yes (X)$1,651,534$0-$389,619
David Hagadorn
Asst. Treasurer46.53.5Yes (X)$160,104$0-$121,301
Julie Smith-Hamilton
Asst. Secretary46.53.5Yes (X)$61,128$0$12,403
Nicholas Conte
Secretary34.016.0Yes (X)$817,822$0$83,882
Matthew Barr
VICE PRESIDENT50.00$276,566$0-$1,557Yes (X)
Paul Hudgins
Senior Vice President/CHRO50.00$479,258$0$42,185Yes (X)
R Keith Perry
Senior Vice President/CIO50.00$513,498$0-$3,706Yes (X)
Fred Greear
Vice President / CIO50.00$490,459$0-$39,038Yes (X)
Nathaniel Bishop DMin
Senior Vice President48.81.2$404,202$0-$235,927Yes (X)
Patrice Weiss MD
Former EVP0.050.0$2,390,863$1,223-$147,548Yes (X)
Stephen Morgan MD
Senior Vice President/CMIO50.00$460,097$0-$194,802Yes (X)
Steven Arner
COO, Carilion Clinic0.050.0$1,120,207$0-$113,754Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,410,815TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,223TotReportableCompRltdOrgAmt
Total Other Compensation-$499,429TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K307IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORDIC CONSULTING PARTNERS INC
2601 W BELTINE HIGHWAYSUITE 600MADISONWI53715CONSULTING SERVICES$7,930,215
SIRIUS COMPUTER SOLUTIONS INC
804 GREEN VALLEY ROAD104GREENSBORONC27408SOFTWARE SERVICES$6,538,647
FIRSTSOURCE SOLUTIONS USA LLC
10400 LINN STATION ROADSUITE 100LOUISVILLEKY40223SOFTWARE SERVICES$5,651,860
EPIC SYSTEMS CORPORATION
1979 MILKY WAYVERONAWI53593SOFTWARE SERVICES$5,155,634
EVERGREEN HEALTHCARE PARTNERS
6720 FRANK LLOYD WRIGHT AVE200MIDDLETONWI53562CONSULTING SERVICES$4,845,117
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K152CntrctRcvdGreaterThan100KCnt
Government Grants$114,878GovernmentGrantsAmt
All Other Contributions$19,738AllOtherContributionsAmt
Total Contributions$134,616TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$15,973,286$15,973,286
Carilion Patient Transportation621910$12,144,629$12,144,629
Management Fees561110$340,680,824$340,680,824
Affiliate Insurance Premium Revenue525100$8,489,151$8,489,151
Research Income541715$45,280$45,280

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,112TotalRevenueColumnAmt
Related Or Exempt Func Income$3,112RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$377,336,282TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,588,582TotalRevenueColumnAmt
Unrelated Business Revenue-$10,932UnrelatedBusinessRevenueAmt
Exclusion$4,599,514ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$106,633,068SecuritiesAmt
Other$1,292,171OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$106,854,354SecuritiesAmt
Other$2,162,812OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$221,286SecuritiesAmt
Other-$870,641OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,091,926TotalRevenueColumnAmt
Exclusion-$1,091,926ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Purchase Discounts900099$850,402$850,402
Health Education Support900099$320,829$320,829
HIM Operations900099$168,676$168,676

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$295,092TotalRevenueColumnAmt
Related Or Exempt Func Income$295,092RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,634,999OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,602,553TotalRevenueColumnAmt
Related Or Exempt Func Income$378,971,281RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$10,932UnrelatedBusinessRevenueAmt
Exclusion$3,507,588ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,486,516TotalAmt
Program Services$2,327,944ProgramServicesAmt
Management And General$7,158,572ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$320,009TotalAmt
Program Services$320,009ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$167,863,770TotalAmt
Program Services$165,335,756ProgramServicesAmt
Management And General$2,528,014ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,534,421TotalAmt
Program Services$5,438,894ProgramServicesAmt
Management And General$95,527ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,371,363TotalAmt
Program Services$20,808,184ProgramServicesAmt
Management And General$1,563,179ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,142,695TotalAmt
Program Services$11,506,656ProgramServicesAmt
Management And General$636,039ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,524,479TotalAmt
Management And General$1,524,479ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$902,757TotalAmt
Management And General$902,757ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$898,661TotalAmt
Management And General$898,661ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$83,193TotalAmt
Program Services$83,193ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,458,154TotalAmt
Management And General$1,458,154ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$49,984,853TotalAmt
Program Services$49,266,252ProgramServicesAmt
Management And General$718,601ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,557,258TotalAmt
Program Services$2,556,210ProgramServicesAmt
Management And General$1,048ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,799,704TotalAmt
Program Services$6,066,313ProgramServicesAmt
Management And General$1,733,391ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$50,243,435TotalAmt
Program Services$50,243,435ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,656,009TotalAmt
Program Services$13,287,054ProgramServicesAmt
Management And General$368,955ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$820,011TotalAmt
Program Services$665,336ProgramServicesAmt
Management And General$154,675ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,973TotalAmt
Program Services$12,973ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,035,579TotalAmt
Program Services$13,035,579ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,204,607TotalAmt
Program Services$966,901ProgramServicesAmt
Management And General$2,237,706ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues & Subscriptions$3,048,929$1,075,164$1,973,765
Recruitment$2,106,792$2,101,363$5,429
Education & Training$2,049,816$2,048,022$1,794
Bad Debt$1,402,854$1,402,854

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,516,181TotalAmt
Program Services$3,109,770ProgramServicesAmt
Management And General$406,411ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$376,025,019TotalAmt
Program Services$351,657,862ProgramServicesAmt
Management And General$24,367,157ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,420BOYAmt
EOY$2,070EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$107,757,420BOYAmt
EOY$18,585,409EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,315,467BOYAmt
EOY$4,621,907EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,583,989BOYAmt
EOY$5,048,110EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,047,961BOYAmt
EOY$27,184,588EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$221,054,481LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$181,647,749LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,212,408BOYAmt
EOY$39,406,732EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$109,833,728BOYAmt
EOY$140,011,528EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$67,995,962BOYAmt
EOY$124,978,056EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$608,170,024BOYAmt
EOY$749,883,901EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$36,597,085BOYAmt
EOY$21,287,856EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$995,517,464BOYAmt
EOY$1,131,010,157EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$108,292,180BOYAmt
EOY$87,721,360EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$91,000BOYAmt
EOY$69,091EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$763,992BOYAmt
EOY$641,164EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,574,086BOYAmt
EOY$68,467,866EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$170,721,258BOYAmt
EOY$156,899,481EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$824,796,206BOYAmt
EOY$974,110,676EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$824,796,206BOYAmt
EOY$974,110,676EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$995,517,464BOYAmt
EOY$1,131,010,157EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,577,534ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,457,808NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$133,279,128OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations7SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (7 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
CARILION MEDICAL CENTER
5405063323Yes (true)$0$217,062,438
CARILION NEW RIVER VALLEY MEDICAL CENTER
5405538053Yes (true)$0$41,561,107
CARILION GILES COMMUNITY HOSPITAL
5405496033Yes (true)$0$9,855,529
CARILION FRANKLIN MEMORIAL HOSPITAL
5404806063Yes (true)$0$11,088,644
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
5405680013Yes (true)$0$10,128,089
CARILION TAZEWELL COMMUNITY HOSPITAL
5460745803Yes (true)$0$4,161,583
CARILION CLINIC FOUNDATION
5411907737Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$293,857,390OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12g Description of SupportCarilion Services, Inc. (CSI) supports Carilion Clinic's mission to improve the health of the communities it serves by providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality. CSI supports Carilion Clinic's core hospital business and related activities by providing technology, human resources, legal services, patient billing, accounting and finance, internal audit and compliance, materials management, executive leadership, and strategic planning services.
Schedule A, Part IV, Section C, Line 1 Majority director detailThe filing organization is supervised or controlled in connection with its supported organizations consistent with the Type II supporting organization requirements because a majority of the officers or directors who control or manage the filing organization also serve as a majority of the officers or directors of its supported organizations. Therefore, the same people who control or manage the filing organization also control or manage its supported organizations. Further, the filing organization's bylaws require that a majority of its directors or officers, as the case may be, must be serving concurrently as directors or officers of at least one of the filing organization's supported organizations.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$67,011DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$4,219OtherActivitiesAmt
Total Lobbying Expenditures$71,230TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationA portion of dues paid to various healthcare industry associations is attributable to lobbying activities. Carilion employs an individual to monitor and inform management about legislative activity regarding health care. A portion of the individual's time is spent on lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,471,728OtherCostOrOtherBasisAmt
Book Value$1,471,728BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,317,228OtherCostOrOtherBasisAmt
Depreciation$6,787,749DepreciationAmt
Book Value$529,479BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$285,962OtherCostOrOtherBasisAmt
Depreciation$164,153DepreciationAmt
Book Value$121,809BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,362,856OtherCostOrOtherBasisAmt
Depreciation$174,194,304DepreciationAmt
Book Value$25,168,552BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,616,707OtherCostOrOtherBasisAmt
Depreciation$501,543DepreciationAmt
Book Value$12,115,164BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$39,406,732TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investments
Investments in Affiliates
Interest
Investment Minority
Alternative Investments$124,978,056F
Commingled Funds
FieldValueIRS element (for citing)
Total Book Value Securities$124,978,056TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestments in AffiliatesDesc
Book Value$749,883,901BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$749,883,901TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Pension Liability$17,299,867
BRIC Claims Payable$32,067,243
Deferred Compensation Payable$10,744,361
Due to Affiliates$7,724,139
Lease Liability$632,256
FieldValueIRS element (for citing)
Total Liability$68,467,866TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Nancy Howell Agee
Director/President/CEO, Carilion Clinic$1,567,773$0$358,583$0$259,927$0$987,742$0$13,946$0$3,187,971$0$0$0
Donald Halliwill
Director/Asst. Treasurer$745,723$0$125,641$0$117,609$0-$159,617$0$21,296$0$850,652$0$113,415$0
G Robert Vaughan Jr
Director/Treasurer/SVP$341,967$0$44,219$0$23,635$0-$275,310$0$21,296$0$155,807$0$19,258$0
Jeanne Armentrout
Director$770,439$0$128,265$0$752,830$0-$398,602$0$8,983$0$1,261,915$0$605,762$0
Nicholas Conte
Secretary$642,289$0$107,354$0$68,179$0$68,334$0$15,548$0$901,704$0$60,115$0
David Hagadorn
Asst. Treasurer$150,264$0$2,700$0$7,140$0-$127,993$0$6,692$0$38,803$0$0$0
Matthew Barr
VICE PRESIDENT$239,683$0$26,151$0$10,732$0-$21,386$0$19,829$0$275,009$0$0$0
Paul Hudgins
Senior Vice President/CHRO$416,448$0$52,498$0$10,312$0$26,637$0$15,548$0$521,443$0$2,259$0
R Keith Perry
Senior Vice President/CIO$431,759$0$54,149$0$27,590$0-$12,488$0$8,782$0$509,792$0$21,574$0
Steven Arner
COO, Carilion Clinic$892,203$0$149,632$0$78,372$0-$135,050$0$21,296$0$1,006,453$0$73,054$0
Nathaniel Bishop DMin
Senior Vice President$316,054$0$38,918$0$49,230$0-$238,575$0$2,648$0$168,275$0$0$0
Fred Greear
Vice President / CIO$319,297$0$169,888$0$1,274$0-$58,217$0$19,179$0$451,421$0$0$0
Stephen Morgan MD
Senior Vice President/CMIO$383,735$0$48,356$0$28,006$0-$211,833$0$17,031$0$265,295$0$18,378$0
Patrice Weiss MD
Former EVP$546,237$1,223$114,831$0$1,729,795$0-$166,884$0$19,336$0$2,243,315$1,223$165,519$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsEMPLOYEES ARE OCCASIONALLY PROVIDED SMALL GIFTS, PRIZES OR AWARDS WHICH MAY BE INCLUDED IN TAXABLE COMPENSATION AT AMOUNTS GROSSED UP FOR TAXES. DURING THE REPORTING PERIOD Mr. Perry, Dr. Morgan, and Ms. Smith-Hamilton RECEIVED SUCH BENEFIT.
Schedule J, Part I, Line 1a Health or social club dues or initiation feesDirectors of Carilion Clinic and its related hospital and foundation organizations are offered a free family or individual membership to a health club owned by a related organization if they choose to accept it. Mr. Arner received this benefit and the value was included in taxable compensation from the organization.
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expensesProvision of the health club benefit is documented in Board meeting minutes and Carilion internally tracks the memberships and pays the health club directly. MANAGEMENT MAKES TAX GROSS-UP DECISIONS AT ITS DISCRETION FOR NON-ROUTINE SMALL GIFTS, PRIZES OR AWARDS CONSIDERING IRS REQUIREMENTS, AMOUNT, AND NON-CASH STATUS.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of independent Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, including the CEO. This review included review of a comprehensive report from an independent, outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a comparison of total compensation and each element thereof, including base salary, bonus, 'at-risk other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Schedule J, Part I, Line 4a Severance or change-of-control paymentPatrice Weiss - $1,558,223.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planMs. Armentrout, Mr. Arner, Mr. Bishop, Mr. Conte, Mr. Halliwill, Mr. Hudgins, Dr. Morgan, Mr. Perry, Mr. Vaughan, and Dr. Weiss participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP). Contributions to the plan are at the discretion of Carilion Clinic's Compensation Committee. Amounts vest and become non-forfeitable and payable upon the first of the following (1) attainment of scheduled vesting date (2) attainment of age and years of service requirements (3) disability or death while an eligible employee or (4) entitlement to severance benefits from an involuntary termination without reasonable cause or resignation with good reason. Unvested contributions made to the DC SERP in the reporting period are included in Part II, Column C of this schedule with "retirement and other deferred compensation," while vested contributions paid out during the year are included in Part II, Column B(iii). The following distributions were made to these individuals under this plan in the reporting year. Deferred in prior year and paid out in current year: $165,519 - Patrice Weiss $113,415 - Donald Halliwill $605,762 - Jeanne Armentrout $73,054 - Steven Arner $19,258 - G. Robert Vaughan, Jr. $18,378 - Stephen Morgan $21,574 - R. Keith Perry $60,115 - Nicholas Conte $2,259 - Paul Hudgins Vested and paid in current year: $40,484 - Nathaniel Bishop $136,954 - Jeanne Armentrout Ms. Agee participates in an Executive Flexible Benefit Plan, under which she receives an allowance which can be used to obtain certain benefits, with the excess deferred until the applicable vesting date. Amounts now received under this plan vest immediately and thus are no longer deferred. $245,365 was distributed under this plan in the reporting year.
Schedule J, Part I, Line 7 Non-fixed paymentsThe organization pays annual 'at-risk' compensation to certain members of management based on performance of an applicable scorecard. While the scorecard contains a formula as a basis for determining overall performance, in certain cases, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual non-fixed payment awarded is in the discretion of the Carilion Clinic Board of Directors and its Compensation Committee.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Jessica Lemons
Family Member of Jeanne Armentrout, Director$113,209Employeefalse
David Danco
Family member of G. Robert Vaughan, Officer$206,800Employeefalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service AccomplishmentsCarilion Services Inc., (CSI), provides management services and administrative functions for Carilion Clinic affiliates to enhance our core hospital and system business services for cost-effectiveness, compliance, and quality. CSI provides management leadership and oversight for information technology, human resources, legal services, patient billing, accounting and finance, internal audit, privacy and compliance, materials management, marketing & communications, community health and outreach, market planning and development and overall wellness services. In addition, through its ownership of Carilion Clinic Patient Transportation, LLC, the organization staffs medical air transport helicopters which flew 1,784 patients and operates a ground service which provided 15,560 medical transports during the year. It also provides medical staffing to its supported affiliate hospitals through its Carilion Professional Services, LLC division. These measures assisted the Clinic's hospitals in admitting 43,031 patients and providing 254,220 days of care during the year and supporting numerous programs designed to serve the health needs of the area. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, the Carilion Clinic hospitals collectively provided over $81 million in uncompensated care and other community benefits.
Form 990, Part IV, Line 11f Disclosure of Uncertain Tax PositionsManagement has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsNancy Howell Agee, Jeanne Armentrout, Nicholas Conte, David Hagadorn, Donald Halliwill, G. Robert Vaughan, Jr, Julie Smith-Hamilton and Paul Hudgins - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersThe organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyThe sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the Board that may occur for any reason.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO; approval of borrowings, budgets, and strategic plans; and amendments of Articles of Incorporation and Bylaws, among others. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia, certain extraordinary actions require member approval, such as mergers, consolidations, liquidations, and the sale of substantially all of the assets of the organization. See also Schedule O disclosure for Form 990, Part VI, Section A, Line 7a.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyThe filing organization has no committees.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Form 990 was prepared by Carilion's internal Tax Department with input from various Carilion departments, as applicable, and reviewed by internal management. Prior to filing, all Board Members were notified via email that the final Form 990 was posted on the organization's Board portal, which is the mechanism used to disseminate meeting materials to the directors, and were encouraged to call with any questions they might have.
Form 990, Part VI, Line 12c Conflict of interest policyOur organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Compliance Committee of the Carilion Clinic Board and implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by the Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of independent Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors annually, which includes the President and Chief Executive Officer, the Executive Vice Presidents (Chief Financial Officer, Chief Medical Officer, Chief Operating Officer, Chief Administrative Officer and Chief Legal Officer), and select Senior Vice Presidents who are the physician Chairs of the Clinical Departments. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, which includes Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, and the CEO, as well as the compensation philosophy for employed physicians. Some officers of the organization who are not compensated in their capacity as an officer but rather in their role as employee in a position not mentioned above are not subject to Committee review. This review included review of a comprehensive report from an independent, outside compensation consultant specializing in healthcare organizations for certain select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonus, 'at-risk other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSee response to line 15A.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization's governing documents, conflict of interest statement, and financial statements are released from time to time during the tax year upon request. The conflict of interest policy is included in our Code of Excellence which is available to the public on our website. The Articles of Incorporation are available from the Virginia State Corporation Commission. Limited financial information for the Carilion Clinic companies as a whole is available on the Carilion Clinic website.
Form 990, Part VIII, Line 2f Other Program Service RevenueRent from Affiliates - Total Revenue: 3112, Related or Exempt Function Revenue: 3112, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueMiscellaneous - Total Revenue: 155323, Related or Exempt Function Revenue: 155323, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous - Total Revenue: 139769, Related or Exempt Function Revenue: 139769, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPhysician/Professional/Staffing Services - Total Expense: 3038507, Program Service Expense: 3038507, Management and General Expenses: , Fundraising Expenses: ; Billing & Collection Services - Total Expense: 663351, Program Service Expense: , Management and General Expenses: 663351, Fundraising Expenses: ; Other Purchased Services - Total Expense: 4560017, Program Service Expense: 4540487, Management and General Expenses: 19530, Fundraising Expenses: ; Contract Fees/Consulting - Total Expense: 37733481, Program Service Expense: 37701649, Management and General Expenses: 31832, Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 3729738, Program Service Expense: 3725850, Management and General Expenses: 3888, Fundraising Expenses: ; Reference Labs - Total Expense: 259759, Program Service Expense: 259759, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPension-related changes other than net periodic pension costs - -5483887; Transfers to/from Affiliates - Net - 48270195; Subsidiary investments adjustment - 90492820;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BLUE RIDGE INDEMNITY COMPANY LLC
76 ST PAUL STREETSUITE 500BURLINGTONVT05401270927178INSURANCEVT$15,331,178$82,564,267CARILION SERVICES INC
CARILION CLINIC PATIENT TRANSPORTATION LLC
PO BOX 12385ROANOKEVA24025541864693TRANSPORTATIONVA$11,247,325$4,640,136CARILION SERVICES INC
CARILION PROFESSIONAL SERVICES LLC
PO BOX 12385ROANOKEVA24025542030773HEALTHCAREVA$15,790,292$220,087CARILION SERVICES INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CARILION CLINIC
PO BOX 12385ROANOKEVA24025541190771SUPPORTING ORGANIZATIONVA501(c)(3)Type IINAfalse
CARILION CLINIC FOUNDATION
PO BOX 12385ROANOKEVA24025541190773FUNDRAISINGVA501(c)(3)7CARILION CLINICYes (true)
CARILION FRANKLIN MEMORIAL HOSPITAL
PO BOX 12385ROANOKEVA24025540480606HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION GILES COMMUNITY HOSPITAL
PO BOX 12385ROANOKEVA24025540549603HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION MEDICAL CENTER
PO BOX 12385ROANOKEVA24025540506332HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION NEW RIVER VALLEY MEDICAL CENTER
PO BOX 12385ROANOKEVA24025540553805HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
PO BOX 12385ROANOKEVA24025540568001HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION TAZEWELL COMMUNITY HOSPITAL
PO BOX 12385ROANOKEVA24025546074580HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
FRANKLIN COUNTY VENTURES LLC
PO BOX 12385ROANOKEVA24025474365316REAL ESTATEVANAN/A
CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC
PO BOX 12385ROANOKEVA24025455235473MEDICARE ACOVANAN/A
ROANOKE AMBULATORY SURGERY CENTER LLC
1102 JEFFERSON ST SEROANOKEVA24016010691564SURGERY CENTERVANAN/A
SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC
1102 Jefferson Street SERoanokeVA24016010691570REAL ESTATEVANAN/A
RAVEN ASSET-BASED OPPORTUNITY FUND IV LP
75 Spring St 6th FLNew YorkNY10012824119491InvestmentsDENAN/A
STARWOOD VEP II CO-INVEST LLC
591 W Putnam AvenueGreenwichCT06830833262407INVESTMENTSDENAN/A
TI PLATFORM CC SMA LP
255 Kansas Street Suite 300San FranciscoCA94103842852539INVESTMENTSDENAN/A
TI FBV GR LP
255 Kansas Street Suite 300San FranciscoCA94103862597246INVESTMENTSDENAN/A
TI Platform DCI SPV LP
800 Town and Country Suite 500HoustonTX77024871897835INVESTMENTSDENAN/A
Transpose Platform Zippedi SPV LP
4304 18th Street 14427San FranciscoCA941149991873425361InvestmentsDENAN/A
Transpose Platform Gorgias SPV LP
800 Town and Country Suite 500HoustonTX77024874563291InvestmentsDENAN/A
Transpose Platform Fintech Fund II LP
4304 18th Street 14427San FranciscoCA941149991873126138InvestmentsDENAN/A
Opera Investment Two SCSP
InvestmentsNAN/ALU

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHS INC
PO BOX 12385ROANOKEVA24025541725732SERVICESVACARILION SERVICES INCC Corporation$77,840,976$826,651,0851Yes (true)
CARILION BEHAVIORAL HEALTH INC
PO BOX 12385ROANOKEVA24025203136891HEALTHCAREVACHS INCC Corporation$1,025,449$136,2861Yes (true)
CARILION EMERGENCY SERVICES INC
PO BOX 12385ROANOKEVA24025542033006HEALTHCAREVACHS INCC Corporation$14,191,814$4,344,3971Yes (true)
SCA CREDIT SERVICES INC
PO BOX 12385ROANOKEVA24025541180398COLLECTION AGENCYVACHS INCC Corporation$619,813$321,5871Yes (true)
CARILION HEALTHCARE CORPORATION
PO BOX 12385ROANOKEVA24025541586601HEALTHCAREVACHS INCC Corporation$156,101,154$57,742,4121Yes (true)
MEDKEY INC
PO BOX 12385ROANOKEVA24025541645357FINANCING SERVICESVACHS INCC Corporation$216,130$128,7511Yes (true)
CARILION DTC SERVICES INC
PO BOX 12385ROANOKEVA24025872635239HEALTHCAREVACHS INCC Corporation$55,480$19,5981Yes (true)
SPROTT PRIVATE RESOURCE LENDING (C-CO-INVEST) LP
981378742INVESTMENTSNAC CorporationYes (true)CA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion Medical Center
A$3,112Cost
Carilion Medical Center
L$242,077,553Cost
Carilion New River Valley Medical Center
L$46,653,500Cost
Carilion Giles Community Hospital
L$13,022,223Cost
Carilion Franklin Memorial Hospital
L$11,747,753Cost
Carilion Rockbridge Community Hospital
L$11,802,435Cost
Carilion Tazewell Community Hospital
L$4,200,750Cost
CHS Inc
L$3,139,490Cost
Carilion Emergency Services Inc
L$2,891,227Cost
SCA Credit Services Inc
L$57,747Cost
Carilion Healthcare Corporation
L$18,197,341Cost
Carilion Medical Center
K$278,060Cost
Carilion Medical Center
M$820,545Cost
Carilion Rockbridge Community Hospital
K$53,038Cost
Carilion Clinic Foundation
M$1,194,146Cost
Carilion Behavioral Health Inc
M$69,966Cost
CHS Inc
K$87,120Cost
CHS Inc
M$77,974Cost
Carilion Medical Center
S$76,524,394Cash
Carilion New River Valley Medical Center
S$26,752,449Cash
Carilion Rockbridge Community Hospital
S$3,595,616Cash
Carilion Clinic
S$8,197,736Cash
CHS Inc
R$66,800,000Cash